Revenue Cycle Improvement Consultant 1 - Plano

Baylor Scott & White Health•Plano, TX

4d•Onsite

About The Position

This role focuses on identifying, preventing, and reducing payor denials through data-driven revenue cycle and operational optimization for BSWH. The position partners with revenue cycle departments, HIM, Central Business Services, clinical teams, and IT to analyze denial trends, redesign workflows, and implement proactive controls that ensure accurate charge capture, documentation, and payor compliance. The role leverages analytics, process redesign, and education to prevent denials upstream, improve efficiency, and drive stronger reimbursement outcomes across the health system. This is an onsite position in Plano, Texas.

Requirements

Strong project management experience with the ability to lead cross-functional initiatives.
Exceptional communication, analytical, organizational, and implementation skills.
Deep knowledge of revenue cycle operations, including denial prevention strategies.
Experience working with data, analytics, and performance metrics.
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
EXPERIENCE - 3 Years of Experience

Nice To Haves

Healthcare consulting experience preferred.

Responsibilities

Analyze payor denial trends and root causes to identify systemic issues across front-end, mid-cycle, and back-end revenue cycle functions.
Design and implement workflow improvements to prevent denials related to registration accuracy, prior authorization, medical necessity, coding, documentation, and charge capture.
Assist revenue cycle departments in data-driven workflow redesign and performance improvement initiatives.
Proactively identify revenue cycle inefficiencies, research data, and develop actionable solution alternatives.
Implement revenue cycle improvement solutions across BSWH departments and facilities.
Monitor revenue cycle performance using existing tools and metrics; develop new KPIs as payor requirements evolve.
Partner with Access Services, HIM, clinical departments, and Central Business Services to standardize denial prevention best practices.
Coordinate revenue cycle activities, including charge capture and workflow optimization.
Lead and support denial prevention education and training initiatives focused on payor requirements, documentation standards, and error prevention.
Facilitate communication and coordination between BSWH corporate teams and facility leadership to ensure consistent execution of initiatives.
Assess revenue cycle IT system capabilities and support enhancements that automate edits, validations, and compliance checks.
Examine operational trends and implement process redesign solutions that drive measurable financial impact.
Support project management for denial prevention initiatives, ensuring timely execution and sustainable results.